45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published
○Gross / standard charges
○Discounted cash price
●Payer-specific negotiated rates
○Min / max negotiated charges
●Free, public, no login required
Procedures listed
23,499
Insurances with rates
7
CPT / HCPCS codes
14,220
Source MRF
Most expensive procedures (gross)
J9228
$235,020
IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [108955]
Gross
$235,020
10122-510-03
$175,179
PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION [126060]
Gross
$175,179
J9042
$123,086
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [111348]
Gross
$123,086
J9266
$111,329
PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519]
Gross
$111,329
36003230
$72,025
HC PERCUT ARTERIOVEN FISTULA CREAT UPPER EXTREM SINGL ACCESS
Gross
$72,025
36003231
$72,025
HC PERCUT ARTERIOVEN FISTULA CREAT UPPER EXTREM SEPARATE ACCESS SITES
Gross
$72,025
J9354
$60,508
ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [163364]
Gross
$60,508
36002252
$54,151
HC THRML DESTR INTRAOSSEOUS BASIVRTBRL NRV INC IMG GUID 1ST 2 LMBR/SAC
Gross
$54,151
36003202
$52,953
HC PERCUT INJ ALLO CELL &/ TISS PROD UNI/BI FLUOR LUMBAR 1ST LEVEL
Gross
$52,953
36003204
$52,953
HC PERC INJ ALLO CELL &/ TISS PROD UNI/BI W CT GUID LUMBAR 1ST LEVEL
Gross
$52,953
J9319
$47,783
ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344]
Gross
$47,783
J0597
$47,026
C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT [100272]
Gross
$47,026
36001025
$42,589
HC TRNSL ATHER ILIAC ART
Gross
$42,589
J1569
$41,814
IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [178368]
Gross
$41,814
J9305
$35,927
PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894]
Gross
$35,927
J9303
$34,682
PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [108055]
Gross
$34,682
48100521
$33,521
HC REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL
Gross
$33,521
48100523
$33,521
HC REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL
Gross
$33,521
J7189
$33,424
COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION [92853]
Gross
$33,424
48100538
$31,788
HC REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL
Gross
$31,788
48100540
$31,788
HC REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL
Gross
$31,788
36003075
$30,099
HC PERC TRANS MECH THROMB W TRANSCATH PLMT INTRA STENT(S) S&I
Gross
$30,099
48100530
$29,853
HC REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL
Gross
$29,853
48100532
$29,853
HC REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL
Gross
$29,853
J1745
$29,532
INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [23796]
Gross
$29,532
36000465
$28,981
HC REV TIPPS/CATH/STENT PLCMT
Gross
$28,981
36000783
$28,981
HC ENDOVAS BALL ART OCC HEAD/NCK
Gross
$28,981
36000785
$28,981
HC EMBOLIZATION NON CNS HEAD NECK
Gross
$28,981
36001020
$28,981
HC TRNSL ATHER RENAL ART
Gross
$28,981
36001023
$28,981
HC ABD AORTA XRA W CONTR W SI
Gross
$28,981
36001024
$28,981
HC ATHER BRACHCEPH AND BRANCH
Gross
$28,981
36002025
$28,981
HC T CATH STNT PLCM INIT ARTER SI
Gross
$28,981
36002027
$28,981
HC TRNSCATH STNT PLMT SI INITIAL VEIN
Gross
$28,981
36002029
$28,981
HC TRANS CATH/EMBOL VENOUS SI
Gross
$28,981
36002030
$28,981
HC TRANS CATH/EMBOL ARTERIAL SI
Gross
$28,981
36002032
$28,981
HC TRANS CATH/EMBL ART/VEN HEM SI
Gross
$28,981
36003072
$28,981
HC INTRO NEEDLE &OR CATH DIAL CIRC W TRANS PLC INTRAV STENT S&I
Gross
$28,981
36003074
$28,981
HC PERC TRANS MECH THROMB W BALL ANGIO PERI DIAL SEG S&I
Gross
$28,981
48100504
$28,981
HC REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL
Gross
$28,981
48100506
$28,981
HC REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL
Gross
$28,981
48100513
$28,981
HC REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL
Gross
$28,981
48100515
$28,981
HC REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL
Gross
$28,981
48100517
$28,981
HC REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL
Gross
$28,981
48100519
$28,981
HC REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL
Gross
$28,981
48100534
$28,981
HC REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL
Gross
$28,981
48100536
$28,981
HC REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL
Gross
$28,981
48100542
$28,981
HC REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL
Gross
$28,981
48100544
$28,981
HC REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL
Gross
$28,981
90375
$28,689
RABIES IMMUNE GLOBULIN (PF) (RIG) (HYPERRAB) 300 UNIT/ML INJECTION [190414]
Gross
$28,689
J9055
$25,070
CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION [108072]
Gross
$25,070
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9228 | IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [108955] | $235,020 | $235,020 | — | — | 0 |
| 10122-510-03 | PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION [126060] | $175,179 | $175,179 | — | — | 0 |
| J9042 | BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [111348] | $123,086 | $123,086 | — | — | 0 |
| J9266 | PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519] | $111,329 | $111,329 | — | — | 0 |
| 36003230 | HC PERCUT ARTERIOVEN FISTULA CREAT UPPER EXTREM SINGL ACCESS | $72,025 | $72,025 | — | — | 0 |
| 36003231 | HC PERCUT ARTERIOVEN FISTULA CREAT UPPER EXTREM SEPARATE ACCESS SITES | $72,025 | $72,025 | — | — | 0 |
| J9354 | ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [163364] | $60,508 | $60,508 | — | — | 0 |
| 36002252 | HC THRML DESTR INTRAOSSEOUS BASIVRTBRL NRV INC IMG GUID 1ST 2 LMBR/SAC | $54,151 | $54,151 | — | — | 0 |
| 36003202 | HC PERCUT INJ ALLO CELL &/ TISS PROD UNI/BI FLUOR LUMBAR 1ST LEVEL | $52,953 | $52,953 | — | — | 0 |
| 36003204 | HC PERC INJ ALLO CELL &/ TISS PROD UNI/BI W CT GUID LUMBAR 1ST LEVEL | $52,953 | $52,953 | — | — | 0 |
| J9319 | ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION [100344] | $47,783 | $47,783 | — | — | 0 |
| J0597 | C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT [100272] | $47,026 | $47,026 | — | — | 0 |
| 36001025 | HC TRNSL ATHER ILIAC ART | $42,589 | $42,589 | — | — | 0 |
| J1569 | IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [178368] | $41,814 | $41,814 | — | — | 0 |
| J9305 | PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION [37894] | $35,927 | $35,927 | — | — | 0 |
| J9303 | PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [108055] | $34,682 | $34,682 | — | — | 0 |
| 48100521 | HC REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL | $33,521 | $33,521 | — | — | 0 |
| 48100523 | HC REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL | $33,521 | $33,521 | — | — | 0 |
| J7189 | COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION [92853] | $33,424 | $33,424 | — | — | 0 |
| 48100538 | HC REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL | $31,788 | $31,788 | — | — | 0 |
| 48100540 | HC REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL | $31,788 | $31,788 | — | — | 0 |
| 36003075 | HC PERC TRANS MECH THROMB W TRANSCATH PLMT INTRA STENT(S) S&I | $30,099 | $30,099 | — | — | 0 |
| 48100530 | HC REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL | $29,853 | $29,853 | — | — | 0 |
| 48100532 | HC REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL | $29,853 | $29,853 | — | — | 0 |
| J1745 | INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [23796] | $29,532 | $29,532 | — | — | 0 |
| 36000465 | HC REV TIPPS/CATH/STENT PLCMT | $28,981 | $28,981 | — | — | 0 |
| 36000783 | HC ENDOVAS BALL ART OCC HEAD/NCK | $28,981 | $28,981 | — | — | 0 |
| 36000785 | HC EMBOLIZATION NON CNS HEAD NECK | $28,981 | $28,981 | — | — | 0 |
| 36001020 | HC TRNSL ATHER RENAL ART | $28,981 | $28,981 | — | — | 0 |
| 36001023 | HC ABD AORTA XRA W CONTR W SI | $28,981 | $28,981 | — | — | 0 |
| 36001024 | HC ATHER BRACHCEPH AND BRANCH | $28,981 | $28,981 | — | — | 0 |
| 36002025 | HC T CATH STNT PLCM INIT ARTER SI | $28,981 | $28,981 | — | — | 0 |
| 36002027 | HC TRNSCATH STNT PLMT SI INITIAL VEIN | $28,981 | $28,981 | — | — | 0 |
| 36002029 | HC TRANS CATH/EMBOL VENOUS SI | $28,981 | $28,981 | — | — | 0 |
| 36002030 | HC TRANS CATH/EMBOL ARTERIAL SI | $28,981 | $28,981 | — | — | 0 |
| 36002032 | HC TRANS CATH/EMBL ART/VEN HEM SI | $28,981 | $28,981 | — | — | 0 |
| 36003072 | HC INTRO NEEDLE &OR CATH DIAL CIRC W TRANS PLC INTRAV STENT S&I | $28,981 | $28,981 | — | — | 0 |
| 36003074 | HC PERC TRANS MECH THROMB W BALL ANGIO PERI DIAL SEG S&I | $28,981 | $28,981 | — | — | 0 |
| 48100504 | HC REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL | $28,981 | $28,981 | — | — | 0 |
| 48100506 | HC REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL | $28,981 | $28,981 | — | — | 0 |
| 48100513 | HC REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL | $28,981 | $28,981 | — | — | 0 |
| 48100515 | HC REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL | $28,981 | $28,981 | — | — | 0 |
| 48100517 | HC REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL | $28,981 | $28,981 | — | — | 0 |
| 48100519 | HC REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL | $28,981 | $28,981 | — | — | 0 |
| 48100534 | HC REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL | $28,981 | $28,981 | — | — | 0 |
| 48100536 | HC REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL | $28,981 | $28,981 | — | — | 0 |
| 48100542 | HC REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL | $28,981 | $28,981 | — | — | 0 |
| 48100544 | HC REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL | $28,981 | $28,981 | — | — | 0 |
| 90375 | RABIES IMMUNE GLOBULIN (PF) (RIG) (HYPERRAB) 300 UNIT/ML INJECTION [190414] | $28,689 | $28,689 | — | — | 0 |
| J9055 | CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION [108072] | $25,070 | $25,070 | — | — | 0 |
Showing top 50 of 23,499 priced procedures, sorted by gross charge.
Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.